Individual
MRS. COLLEEN DALY BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A MFT
Contact information
Practice address
16-576 KEAAU PAHOA RD, KEAAU, HI 96749-8105
(808) 494-2467
Mailing address
13-810 MALAMA ST, PAHOA, HI 96778-8448
(808) 494-2467
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-398
HI
Other
Enumeration date
08/27/2014
Last updated
02/17/2016
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